820657_Routine Inspection_20230314

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Type of of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: —0-Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: / Arrival' Time: Departure Time: County:c
Farm Name: zw'e'/ Owner Email:
Owner Name: - 71
Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator: / -
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Region: Jec_[J
Integrator:
Certification Number:
Certification Number:
Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 4 E��o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ff No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page 1 of 3 511212020 Continued

Facility Number: Y1.7 - ,~ Date of Inspection:
a�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 3
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes Ej'No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes [�r`No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
AyJL
Yes No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes 4E]"No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes J�Io
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes �No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes �No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):60i GEJ�i zi/L�il'.t�'�i
13. Soil Type(s): /yv 1 4L Lc_�e��,�t_
14. Do the receiving crops differ from those designated in the CAWMP? 0 Yes ET&o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 12 No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E� No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes .] No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes _J�frNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
0 Yes ZNo
❑ NA
0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes _Q4No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ,e'Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfal l ❑ Stocking 'Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes _'Rlo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes -ETNo ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: f - Date of Inspection: /
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes ._.❑'No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes B-No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
[:]Yes &No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes Ej"No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes _e'�o ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes Efl"No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes - f No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
Ef[No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
E�No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
,P�;;[No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
QNo
❑ NA
❑ NE
/n�..a� G�
�l cep, 7,� ne'f 0��euy�^
'.06"exo 'ioop "fi-7 '0016z�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
S/1212020

,� V1
FACILITY#. FARM NAME: c�cG� GOON LEVEL
PERMIT
- DUE EVERY 5 YEARS
- EXPERIATION DATE NUMBER OF ANIMALS
- CURRENT NUMBER OF ANIMAL
- OIC CARD YES OR NO
WASTE QUTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES u31i , I:�&a.4�
ODOR CONTROL CHECK LIST YES OR NO
Irrigation Plan Maps YES OR NO
WASTE REPORT (#21)
-GOOD DAYS BEFORE OR AFTER
�FOR /60
"
DATE i<,3`
NITROGEN LEVEL c)
DATE
NITROGEN LEVEL < ,
DATEf 9 1 l i.
NITROGEN LEVEL
SOIL REPORT (#21)
- EVERY 3 YEARS:
DATE�,�
- P-1 (NO MORE THEN 400)
- PH (Note if 4 or leas)
- Cu/ZN (NO MORE THEN 8000) CU N
(IF PEANUTS NO MORE THEN 300)
I R R 2 (#21)
Not over PAN CROP TYPES
FLOW RATES
Not over PAN CROP TYPES
FLOW RATES
Not over PAN
FLOW RATES
Not over PAN
FLOW RATES
NITROGEN (N)
NITROGP
­-�;- z
CROP TYPES
NITROGEN (N)
CROP TYPES
NITROGEN (N)
o

CALBRIATION (#24)
EACH REEL SHOULD BE CALL RATED EVERY OTHER YEAR
DATE OF CALIBRATION ���4;V2-2
FLOW RATES 00 yr
x RAIN FALL (#21)-INITIAL AFTER 1" RAIN EVENT ,` 1
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
/ SLUDGE (#21 &25)
-DUE EVERY YEAR: DATE
0: C1,y P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (#22.AND #21)
RAIN BREAKER FORM CROP YEILDS MORTALITY
*If fields are grazed there will be no crop yields
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON SEEPAGE LAGOON BARE
AREAS TREES OR GRASS NEED TO BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) HARVESTED FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED BINS LAGOON GARBAGE
Bermuda grass: Opens March 1 st - Ends September 301h
Small Grain Over seed: Opens October 1st- Ends March 313t
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August 13t
Rye: Opens September 1st -Ends March 313t
Oats: -Opens September 13- Ends April 15th
Wheat: Opens September 13t - Ends April 30th
Soybeans: Opens April 13t- Ends September 15th
Fescue: Opens August 13t- Ends July 31 st
Sorghum Hay: Opens March 15th - Ends August 31 st